6 Colo. Code Regs. § 1011-1-20-13
Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1011-1-20-13 - NURSING SERVICES13.1 Nursing Administration: The center shall have sufficient nursing personnel to meet the needs of the patients being served, under the supervision of a nurse manager who is currently licensed by the State of Colorado as a professional registered nurse and who is qualified by education and experience to be responsible for oversight of all nursing services.13.2 The nurse manager shall be responsible for oversight of the following: (A) Delivery of appropriate nursing services to patients;(B) Development and maintenance of appropriate nursing service objectives, standards of nursing practice, nursing policy and procedure manuals, and written job descriptions for all levels of nursing personnel;(C) Coordination of nursing services with other patient services;(D) An adequate plan for the continuous evaluation of nursing care, along with a plan to periodically evaluate the adequacy of the center to meet the needs of its patients and the necessity for improvement or revision of the center or its services; and(E) Staff development including orientation, in-service and continuing education which includes provisions for CPR certification or review.13.3 Nursing Personnel: There shall be sufficient licensed and auxiliary nursing personnel on duty to meet the total nursing needs of patients.(A) At least one registered nurse shall be in the center at all times whenever a patient is present;(B) Nursing personnel shall be assigned duties consistent with their education and experience.13.4 Medications and Treatments: Medications and treatments shall be administered in accordance with all applicable state and federal laws and acceptable standards of practice.13.5 Staff Meetings: Meetings of nursing personnel shall be held regularly to discuss, review and evaluate nursing care. Written minutes of these meetings shall be maintained and distributed to personnel.13.6 Staffing: The center shall have nursing staff in sufficient numbers to ensure that the following services are provided, depending on the procedure and method of sedation.(A) A registered nurse, qualified by education and experience, shall be present in each operating room during operative procedures. This nurse's duties are performed outside the sterile field. This nurse is responsible for managing all nursing care within the operating room, observing the surgical team from a broad perspective, and assisting the team as necessary.(B) A registered nurse or certified registered nurse anesthetist, qualified by education and experience in peri-operative nursing, shall be present in each operating or procedure room during the course of the procedure and be dedicated solely to monitoring the patient during the procedure.(1) For procedures where a sterile field is not required and deep sedation is administered by a certified registered nurse anesthetist who is responsible for monitoring the patient during the procedure, either a technician or a nurse may be used to provide minor assistance to the practitioner if it is within their scope of practice and meets nationally recognized standards of practice.(2) For procedures where no more than moderate sedation (also known as conscious sedation) is used, a technician or nurse may provide minor assistance to the practitioner if it is within their scope of practice, is conducted within nationally recognized standards of practice and the patient is appropriately monitored throughout the procedure.(C) A registered nurse, qualified by education and experience, shall be present in the recovery area when patients are recovering.